Carly Brueggestrat, CRNA
Anesthesiologist Assistant in Stratford, Connecticut
1871814509- Practice location
- 7365 Main St, Stratford, CT 06614-1300
- Phone
- 203-384-3174
- Fax
- 203-384-4619
- Last updated
- October 11, 2010
Carly Brueggestrat is an Anesthesiologist Assistant based in Stratford, CT. Carly Brueggestrat practices in Stratford, CT and has the professional credentials of CRNA. The NPI Number for Carly Brueggestrat is 1871814509 and holds a License No. 074163 (CT). The current practice location address for Carly Brueggestrat is 7365 Main St, Stratford, CT 06614-1300 and can be reached out via phone at 203-384-3174 and via fax at 203-384-4619.
Provider Profile Details
- NPI Number
- 1871814509
- Provider Name
- Carly Brueggestrat
- Credential
- CRNA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7365 Main St, Stratford, CT 06614-1300
- Phone Number
- 203-384-3174
- Fax Number
- 203-384-4619
- Primary Taxonomy
- Anesthesiologist Assistant · 367H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 16, 2010
- Last Update Date
- October 11, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7365 Main St
Stratford, CT 06614-1300 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-1300
- Phone Number
- 203-384-3174
- Fax Number
- 203-384-4619
Provider Business Mailing Address Details
- Address
- 7365 Main St
Stratford, CT 06614-1300 - City
- Stratford
- State
- CT
- Zip
- 06614-1300
- Phone Number
- 203-384-3174
- Fax Number
- 203-384-4619
License Information
- License Number (1)
- 074163
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 0044440
- License State (2)
- CT
- Taxonomy (2)
- Anesthesiologist Assistant · 367H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Carly Brueggestrat, CRNA?
The NPI number of Carly Brueggestrat, CRNA is 1871814509. It was assigned on June 16, 2010 and is currently active in the NPPES registry.
What is the specialty of Carly Brueggestrat, CRNA?
Carly Brueggestrat, CRNA is registered under the primary taxonomy Anesthesiologist Assistant (code 367H00000X), licensed in CT under license number 074163.
Where does Carly Brueggestrat, CRNA practice?
The practice location is 7365 Main St, Stratford, CT 06614-1300. The office can be reached at 203-384-3174 (phone) or 203-384-4619 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871814509 directly on the NPPES registry website.